FDA Adverse Event Malfunction Summary report: N

EZ-IO POWER DRIVER

MDR report key: 1335404 · Received March 4, 2009

Report

Report Number
MW5010193
Event Type
Malfunction
Date Received
March 4, 2009
Date of Event
March 3, 2009
Report Date
March 4, 2009
Manufacturer
VIDACARE CORPORATION
Product Code
HTW
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

ON SCENE OF PT WITH MULTIPLE GUN SHOT WOUNDS. UNABLE TO SEE VIABLE I.V. SITES IMMEDIATELY SO INITIATED USE OF THE INTRAOSSEOUS DRILL. WHEN INSERTING NEEDLE INTO THE RIGHT TIBULA THE I.O. DRILL BOGGED DOWN, BATTERY DIED AND UNABLE TO INSERT. FORTUNATELY, WE WERE ABLE TO OBTAIN ONE I.V. ANTECUBITAL WITH AN 18G CATHETER. THE PT COULD HAVE USED AN ADDITIONAL LINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EZ-IO POWER DRIVER EZ-IO POWER DRILL HTW VIDACARE CORPORATION 011782

Patients

Seq Age Sex Outcome Treatment
1 36 YR Other